Invoice: 5101
Voucher Codes:
ID:5023 (sin título)
8E47
3HEO
ID:5023 (sin título)
8E47
3HEO
Invoice: 5101
Invoice Date: May 31, 2025
Service Dates: 5/1/2025 – 5/31/2025
TO:
Wyoming Department of Health
Communicable Disease Unit
122 West 25th Street, 3rd Floor West
Cheyenne, Wy, 82002
Phone (307) 777-3562 | Fax 307-777-8547
FROM:
Hot Springs County Treasurer - Public Health
415 Arapahoe StreetThermopolis, wyoming 82443
Total Vouchers: 3
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 3 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 3 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 2 | Hepatitis C antibody blood draw, NO RAPID DONE OR CONTROLS FAILED | $20.00 | $40.00 |
| 2 | Rapid HIV test provided by CDU | $15.00 | $30.00 |
| 2 | Syphilis blood draw | $0.00 | $0.00 |
| 1 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $14.00 |
| Invoice Total | $196.00 | ||